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355 Essex St Lawrence MA 01840-1410 | |
| (978) 794-0000 | |
| (508) 306-4333 |
| Full Name | |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 355 Essex St, Lawrence, Massachusetts |
| Authorized Official Name and Position | Houssam Alkhoury (PRESIDENT) |
| Authorized Official Contact | 5085898270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
355 Essex St Lawrence MA 01840-1410 Ph: (978) 794-0000 | 355 Essex St Lawrence MA 01840-1410 Ph: (978) 794-0000 |
| NPI Number | 1922303668 |
|---|---|
| Provider Enumeration Date | 01/11/2011 |
| Last Update Date | 03/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922303668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 20511 (Massachusetts) | Primary |
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